OPTUMCARE COLORADO MEDICAL GROUP LLC
NPI 1144763509
General Practice in Colorado Springs, CO

Q: What is Optumcare Colorado Medical Group LLC's NPI number?

The NPI number for Optumcare Colorado Medical Group LLC is 1144763509. It was assigned to this organization in the NPPES registry on December 2, 2016. The provider is doing business as Optum Colorado Springs - East. The provider was formerly known as Optumcare Colorado Springs LLC, Colorado Springs Health Partners LLC and DaVita Medical Group Colorado Springs LLC.

Q: What is Optumcare Colorado Medical Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since December 02, 2016

6340 BARNES RD, COLORADO SPRINGS, CO 80922(719) 570-0640(719) 570-0641 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2024, Aug 20, 2019, May 23, 2017 (3 updates tracked since 2017).

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About Optumcare Colorado Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTUMCARE COLORADO MEDICAL GROUP LLC (NPI 1144763509), doing business as Optumcare Colorado Springs Llc, is a healthcare organization registered as a general practice in Colorado Springs, Colorado and active in the NPI registry since December 2016. The organization lists Emily Castillo, Associate Director Credentialing, as its authorized official.

NPPES Registry Identity

NPI1144763509

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameOPTUMCARE COLORADO MEDICAL GROUP LLC

Location Address6340 BARNES RDColorado Springs, CO 80922-2602

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203 · Fax (719) 538-2990

Phone(719) 570-0640

Fax(719) 570-0641

Organization SubpartNo

Authorized OfficialEmily CastilloAssociate Director Credentialing · (702) 579-3253

Enumeration DateDecember 2, 2016

Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1144763509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

6340 BARNES RD, Colorado Springs, CO 80922

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Other Names 4

Former Legal Business NameOptumcare Colorado Springs Llc

Doing Business AsOptum Colorado Springs - East

Former Legal Business NameColorado Springs Health Partners Llc

Former Legal Business NameDavita Medical Group Colorado Springs Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAX A NEVAREZ MD

Family Medicine